NPIMap

Organization Active NPI

Mille Lacs Band of Ojibwe Indians

  • Public Health or Welfare Agency
  • Onamia, MN
National Provider Identifier
1720133242
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MILLE LACS BAND OF OJIBWE INDIANS
Practice address
18562 Minobimaadizi Loop
Onamia, MN 56359-3001
Phone
(320) 532-7459
Fax
(320) 532-7524
NPI assigned
Jan 24, 2007
Organization subpart
Yes
Parent organization
MILLE LACS BAND OF OJIBWE INDIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Anderson
Title
Commissioner
Phone
(320) 532-4163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

18562 Minobimaadizi Loop
Onamia, MN 56359-3001

Mailing address

18562 Minobimaadizi Loop
Onamia, MN 56359-3001
Phone (320) 532-4163

Other names 1

  • Mille Lacs Band of Ojibwe Public Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mille Lacs Band of Ojibwe Indians16 organizations share this tax ID, including this one
Part of
Mille Lacs Band of Ojibwe Indians

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1720133242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18562 MINOBIMAADIZI LOOP",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593001",
            "telephone_number": "320-532-4163",
            "fax_number": "320-532-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18562 MINOBIMAADIZI LOOP",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593001",
            "telephone_number": "320-532-7459",
            "fax_number": "320-532-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLE LACS BAND OF OJIBWE INDIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLE LACS BAND OF OJIBWE INDIANS",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "320-532-4163"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mille Lacs Band of Ojibwe Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Onamia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.